Phonological Proficiency of Two Cleft Palate Toddlers with School-Age Follow-up

Abstract

This study provides a comprehensive analysis of the speech-sound production of two children with repaired bilateral cleft lip and palate. Speech samples were obtained during videotaping of spontaneous interactions between the children and their parent(s) when the subjects were between 29 and 37 months of age. Re-evaluation of both language and phonological abilities was accomplished when the children were between 5 and 7 years of age. Based on phonemic transcription of these data, error matrices were prepared illustrating word-initial and word-final consonants produced. Place and manner of consonant production were analyzed and the individual phonological processes employed by each child were discussed. Results indicated individual differences between the subjects in that one subject's emerging phonological system was more characteristic of developmental delay while the other was more characteristic of structural inadequacy. These differences have implication for the management of preschool cleft palate children.

Phonetic and Phonological Aspects in Children with Operated Cleft Lip and Palate

“…While it is expected the acquisition of similar phonological system between children with and without cleft; no language delay was reported in children with cleft [16][17][18]. Then there is the presence of compensatory articulations in 16.6% of the sample value, below the Bzoch (1997) and Seguimotto (2002) findings [19,20], who reported the persistence of compensatory articulations in approximately 30% of children with CLP after surgery, inserted into multidisciplinary care.…”

“…It is still possible to attribute the speech alterations to the type of fissure most found in the sample, because the language are directly related to more extensive clefts [15,16].…”

Estudo comparativo em crianças com e sem fissura labiopalatina através do protocolo de triagem do desenvolvimento da linguagem até três anos de idade

“…A avaliação de crianças com FLP, para a detectar indícios de atraso no desenvolvimento da linguagem, deve ser realizada precocemente e também destinada a crianças sem fissura e com fator de risco ( Lynch et al 1983, Nelli et al 1994, Whitehurst e Fischel 1994, Hatcher et al 1995, Wyatt et al 1996, Jocelyn et al 1996, Ward 1999e Golding-Kushner 2001. Condições ou situações que auxiliam esse tipo de avaliação devem ser permanentemente estimuladas e direcionadas a alcançar a população alvo, onde quer que ela esteja (Lynch et al 1983, Drotar et al 1975, Leirião 1995 No que se refere à lateralidade da fissura, das 102 crianças estudadas nos Grupos I (FLP-SO) e II (FLP-CO) e nas faixas etárias A e B, 66% são portadoras de FTIUE e 34%, de FTIUD, dados compatíveis com os de Capelozza Filho e Silva Filho (1992).…”

“…OM crônica com efusão estava presente em 64% das crianças; 26% apresentavam perda auditiva leve ou patologia de orelha média e o restante era atribuído a outras anomalias associadas. Esse posicionamento é freqüente e de consenso entre diversos estudos pertinentes, encontrados na literatura (Fox et al 1978, Lynch et al 1983, Long e Dalston 1983, Coplan 1985, Pecyna et al 1987, Chapman 1991, Nelli et al 1994, Jocelyn et al 1996, Ward 1999, Nakajima et al 2001e Hutters et al 2001.…”

“…Crianças com fissura, devido à alta ocorrência de otites de repetição, apresentam risco para dificuldades ou atraso no desenvolvimento de fala e Ao citar a alta ocorrência de OM, Nelli et al (1994) Lynch et al 1983, Pecyna et al 1987, Riski 1991, Nelli et al 1994, Leirião 1995, Wyatt et al 1996, Jocelyn et al 1996, Schöenweiler et al 1996, Kritzinger et al 1996, Law et al 1998, Ward 1999e Golding-Kushner 2001.…”